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Home Research Research Library Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement 2018 Author(s) Cohen, Deborah J, Dorr, D A, Knierim, K, DuBard, C Annette, Hemler, J R, Hall, J D, Marino, Miguel, Solberg, Leif I, McConnell, K J, Nichols, L M, Nease, D E, Edwards, S T, Wu, W Y, Pham-Singer, H, Kho, A N, Phillips, Robert L, Rasmussen, L V, Duffy, F D, and Balasubramanian, Bijal A Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), Measurement, Payment, and Quality Of Care Volume Health Affairs Source Health Affairs Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires the use of a federally certified EHR, was associated with the ability to generate reports-but the reports did not necessarily support quality improvement initiatives. Practices reported numerous challenges in generating adequate reports, such as difficulty manipulating and aligning measurement time frames with quality improvement needs, lack of functionality for generating reports on electronic clinical quality measures at different levels, discordance between clinical guidelines and measures available in reports, questionable data quality, and vendors that were unreceptive to changing EHR configuration beyond federal requirements. The current state of EHR measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures. ABFM Research Read all 2022 Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure Go to Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure 2022 Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex Go to Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex 2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children 2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes
Author(s) Cohen, Deborah J, Dorr, D A, Knierim, K, DuBard, C Annette, Hemler, J R, Hall, J D, Marino, Miguel, Solberg, Leif I, McConnell, K J, Nichols, L M, Nease, D E, Edwards, S T, Wu, W Y, Pham-Singer, H, Kho, A N, Phillips, Robert L, Rasmussen, L V, Duffy, F D, and Balasubramanian, Bijal A Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), Measurement, Payment, and Quality Of Care Volume Health Affairs Source Health Affairs
ABFM Research Read all 2022 Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure Go to Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure 2022 Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex Go to Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex 2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children 2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes
2022 Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure Go to Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure
2022 Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex Go to Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex
2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children
2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes
